| NPI | 1487241808 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95018478) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN11009491) |
| Enumeration Date | 2020-12-31 |
| Last Update Date | 2024-01-16 |