| NPI | 1881996882 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN9266491) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP9266491) |
| Enumeration Date | 2010-11-23 |
| Last Update Date | 2024-05-23 |