| NPI | 1457890584 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN9237971) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9237971) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9237971) | |
| Enumeration Date | 2017-02-22 |
| Last Update Date | 2021-03-25 |