| NPI | 1962035477 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: FL APRN9301660) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9301660) |
| Enumeration Date | 2020-02-13 |
| Last Update Date | 2021-12-02 |