| NPI | 1477037034 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11013249) |
| Additional Taxonomies | 171000000X Military Health Care Provider (Licence: FL APRN11013249) |
| 163WM0705X Registered Nurse, Medical-Surgical (Licence: TX 818930) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-09-19 |
| Last Update Date | 2023-02-13 |