| NPI | 1750987228 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL aprn11010097) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL RN9491687) |
| Enumeration Date | 2020-12-09 |
| Last Update Date | 2020-12-10 |