| NPI | 1477051506 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN9327097) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9327097) |
| Enumeration Date | 2018-01-23 |
| Last Update Date | 2022-09-25 |