| NPI | 1346603198 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 309763) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN 9252051) |
| Enumeration Date | 2016-03-30 |
| Last Update Date | 2021-03-31 |