| NPI | 1659854396 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN9343593) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP9343593) |
| Enumeration Date | 2018-09-10 |
| Last Update Date | 2019-01-08 |