| NPI | 1033835855 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: FL APRN11022416) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 1075974) |
| 363L00000X Nurse Practitioner (Licence: FL APRN11022416) | |
| Enumeration Date | 2022-10-13 |
| Last Update Date | 2024-09-12 |