| NPI | 1053009936 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: FL APRN11025162) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11025162) |
| Enumeration Date | 2023-04-27 |
| Last Update Date | 2023-12-20 |