| NPI | 1396155032 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: SC 29005) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: FL RN9293032) |
| Enumeration Date | 2014-05-03 |
| Last Update Date | 2024-12-11 |