| NPI | 1487961074 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL ARNP2221632) |
| Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty (Licence: FL ARNP2221632) |
| Enumeration Date | 2010-09-03 |
| Last Update Date | 2022-08-02 |