| NPI | 1255944609 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN11008868) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL 11008868) |
| Enumeration Date | 2020-08-26 |
| Last Update Date | 2023-04-07 |