| NPI | 1154960326 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN11005833) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9337002) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2020-01-05 |
| Last Update Date | 2020-01-22 |