| NPI | 1295318566 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: FL APRN11013855) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9468418) |
| Enumeration Date | 2021-05-04 |
| Last Update Date | 2021-08-12 |