| NPI | 1215591680 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN11013041) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA SP020241) |
| Enumeration Date | 2019-04-30 |
| Last Update Date | 2022-02-17 |