| NPI | 1952600975 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN2676682) |
| Additional Taxonomies | 174400000X Specialist (Licence: FL ARNP2676682) |
| Enumeration Date | 2011-03-16 |
| Last Update Date | 2020-02-26 |