| NPI | 1144947243 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: FL APRN11021268) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL APRN11021268) |
| Enumeration Date | 2022-10-20 |
| Last Update Date | 2022-10-20 |