| NPI | 1114507332 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: FL APRN11026952) |
| Additional Taxonomies | 363LX0001X Nurse Practitioner Obstetrics & Gynecology (Licence: FL APRN11026952) |
| Enumeration Date | 2021-04-12 |
| Last Update Date | 2024-02-09 |