| NPI | 1285239764 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN11010228) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN11010228) |
| Enumeration Date | 2020-12-02 |
| Last Update Date | 2025-04-01 |