| NPI | 1063006914 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: FL APRN11011736) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner Women's Health (Licence: FL APRN11011736) |
| Enumeration Date | 2021-02-22 |
| Last Update Date | 2021-02-22 |