| NPI | 1255976775 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11022464) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN11022464) |
| 207R00000X Internal Medicine (Licence: FL 641062) | |
| Enumeration Date | 2019-11-07 |
| Last Update Date | 2024-04-04 |