| NPI | 1225589732 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: FL APRN11018997) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DC RN1034628) |
| 363LF0000X Nurse Practitioner, Family (Licence: MD R216886) | |
| Enumeration Date | 2016-10-19 |
| Last Update Date | 2024-02-19 |