| NPI | 1154805190 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP9377433) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9377433) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: FL ARNP9377433) | |
| Enumeration Date | 2018-09-15 |
| Last Update Date | 2018-09-15 |