| NPI | 1619618519 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: FL APRN11021039) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9477310) |
| Enumeration Date | 2022-04-05 |
| Last Update Date | 2022-10-26 |