| NPI | 1487370896 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN11022014) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL 11022014) |
| Enumeration Date | 2022-10-17 |
| Last Update Date | 2024-10-31 |