| NPI | 1568990315 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN9218029) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL 9218029) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL ARNP9218029) | |
| Enumeration Date | 2017-05-24 |
| Last Update Date | 2023-12-15 |