| NPI | 1306263140 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN9264352) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP9264352) |
| Enumeration Date | 2014-03-18 |
| Last Update Date | 2023-01-04 |