| NPI | 1801307616 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN11011777) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY 431189) |
| Enumeration Date | 2017-10-19 |
| Last Update Date | 2024-07-12 |