| NPI | 1699861351 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: FL APRN2156872) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP2156872) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2022-04-12 |