| NPI | 1225402118 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: FL APRN9432845) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL aprn9432845) |
| Enumeration Date | 2015-11-16 |
| Last Update Date | 2024-01-08 |