| NPI | 1154800233 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN9377846) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL 9377846) |
| Enumeration Date | 2018-08-09 |
| Last Update Date | 2023-08-17 |