| NPI | 1295240497 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN9346924) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: FL ARNP9346924) |
| Enumeration Date | 2017-12-10 |
| Last Update Date | 2021-03-19 |