| NPI | 1720563760 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN9229715) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NV 814410) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9229715) | |
| Enumeration Date | 2018-09-25 |
| Last Update Date | 2024-03-22 |