| NPI | 1477914646 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP 9265051) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN CNP4324) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: FL RN9265051) | |
| Enumeration Date | 2016-03-15 |
| Last Update Date | 2022-10-25 |