| NPI | 1194202663 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: FL APRN9284522) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner Primary Care (Licence: FL RN9284522) |
| Enumeration Date | 2018-07-26 |
| Last Update Date | 2019-03-29 |