| NPI | 1275175689 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11004554) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN294164) |
| Enumeration Date | 2019-10-17 |
| Last Update Date | 2023-12-10 |