| NPI | 1275202574 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11015317) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: FL 11015317) |
| 207NS0135X Dermatology, Procedural Dermatology (Licence: FL 11015317) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: FL 11015317) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: FL 11015317) | |
| Enumeration Date | 2021-09-09 |
| Last Update Date | 2025-01-01 |