| NPI | 1598394900 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11005332) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F345345-01) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11005332) | |
| Enumeration Date | 2020-04-07 |
| Last Update Date | 2021-09-28 |