| NPI | 1912521576 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11007276) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN1007276) |
| Enumeration Date | 2020-05-29 |
| Last Update Date | 2020-07-28 |