| NPI | 1528669512 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: FL 11010166) |
| Additional Taxonomies | 163WH0200X Registered Nurse Home Health (Licence: FL RN9278927) |
| Enumeration Date | 2020-11-05 |
| Last Update Date | 2021-04-16 |