| NPI | 1053879270 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN11001730) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL 11001730) |
| Enumeration Date | 2019-03-06 |
| Last Update Date | 2024-01-18 |