| NPI | 1174119820 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11010413) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL 11010413) |
| Enumeration Date | 2020-12-16 |
| Last Update Date | 2023-04-07 |