| NPI | 1619362837 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: FL APRN11025540) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: MD R189956) |
| Enumeration Date | 2015-04-03 |
| Last Update Date | 2024-05-21 |