| NPI | 1093201659 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN9402024) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP9402024) |
| Enumeration Date | 2018-07-06 |
| Last Update Date | 2018-10-09 |