| NPI | 1285121269 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN9482328) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL ARNP9482328) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 5012254) | |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: FL ARNP9482328) | |
| Enumeration Date | 2018-04-16 |
| Last Update Date | 2022-05-02 |