| NPI | 1134703853 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11012075) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL F03210316) |
| Enumeration Date | 2021-05-09 |
| Last Update Date | 2021-05-09 |