| NPI | 1487960340 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11020533) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 19016) |
| Enumeration Date | 2010-08-28 |
| Last Update Date | 2023-04-28 |