| NPI | 1164972196 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11007604) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: SC 232807) |
| Enumeration Date | 2016-10-13 |
| Last Update Date | 2023-06-26 |