| NPI | 1689083321 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: FL APRN9281288) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL 9281288) |
| Enumeration Date | 2014-08-06 |
| Last Update Date | 2023-10-03 |