| NPI | 1427637461 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0000X (Licence: FL APRN11012460) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11012460) |
| 207R00000X Internal Medicine (Licence: FL APRN11012460) | |
| Enumeration Date | 2021-04-06 |
| Last Update Date | 2023-07-27 |