| NPI | 1720276157 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11001257) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH rn296224) |
| 363L00000X Nurse Practitioner (Licence: MD 17301-NP) | |
| 363L00000X Nurse Practitioner (Licence: IA H171811) | |
| 363L00000X Nurse Practitioner (Licence: TN 32674) | |
| Enumeration Date | 2007-10-10 |
| Last Update Date | 2024-03-21 |