| NPI | 1750590055 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN2577852) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL arnp2577852) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2021-05-27 |