| NPI | 1497294458 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN9316670) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP 9316670) |
| Enumeration Date | 2017-02-22 |
| Last Update Date | 2024-02-14 |