| NPI | 1295485860 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: FL APRN11021777) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9371818) |
| Enumeration Date | 2022-03-26 |
| Last Update Date | 2022-12-11 |