| NPI | 1356796858 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: FL APRN9300404) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 623053) |
| 163WG0000X Registered Nurse, General Practice (Licence: FL RN9300404) | |
| Enumeration Date | 2016-05-03 |
| Last Update Date | 2021-11-24 |