| NPI | 1679934921 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: FL ARNP9236286) |
| Additional Taxonomies | 302R00000X Health Maintenance Organization |
| 363L00000X Nurse Practitioner (Licence: FL ARNP9236286) | |
| Enumeration Date | 2016-03-15 |
| Last Update Date | 2019-01-14 |