| NPI | 1265822191 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN11019824) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11019824) |
| 363L00000X Nurse Practitioner (Licence: IA H122741) | |
| Enumeration Date | 2015-01-30 |
| Last Update Date | 2023-06-19 |