| NPI | 1316402076 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: FL 11001312) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NM 66988) |
| Enumeration Date | 2019-02-07 |
| Last Update Date | 2024-01-11 |