| NPI | 1649877200 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: FL APRN11009461) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11009461) |
| Enumeration Date | 2020-10-07 |
| Last Update Date | 2020-11-25 |