| NPI | 1861826406 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN9172701) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9172701) |
| 163W00000X Registered Nurse (Licence: FL RN9172701) | |
| Enumeration Date | 2013-08-31 |
| Last Update Date | 2019-09-11 |