| NPI | 1235133786 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN2517192) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL HSE32374) |
| Enumeration Date | 2005-06-10 |
| Last Update Date | 2024-03-27 |