| NPI | 1598135576 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN9257954) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL arnp9257954) |
| Enumeration Date | 2015-10-02 |
| Last Update Date | 2021-02-16 |