| NPI | 1235812835 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: FL APRN11027920) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: FL APRN11027920) |
| 207Q00000X Family Medicine (Licence: FL APRN11027920) | |
| Enumeration Date | 2023-08-09 |
| Last Update Date | 2024-03-19 |