| NPI | 1285253757 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11017408) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9487401) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11017408) | |
| Enumeration Date | 2020-04-14 |
| Last Update Date | 2022-09-19 |