| NPI | 1023686672 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: FL APRN11013380) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner Women's Health (Licence: FL APRN11013380) |
| Enumeration Date | 2021-06-10 |
| Last Update Date | 2024-05-09 |