| NPI | 1093224206 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL ARNP9286988) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9286988) |
| 363L00000X Nurse Practitioner (Licence: FL APRN9286899) | |
| Enumeration Date | 2017-09-20 |
| Last Update Date | 2022-07-30 |