| NPI | 1639779051 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN11023717) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9307930) |
| Enumeration Date | 2020-10-26 |
| Last Update Date | 2023-04-05 |