| NPI | 1811286123 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11012389) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MD F04180168) |
| 363LF0000X Nurse Practitioner, Family (Licence: NY F343982) | |
| Enumeration Date | 2011-04-07 |
| Last Update Date | 2023-02-14 |