| NPI | 1447003348 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11030703) |
| Additional Taxonomies | 208D00000X General Practice (Licence: FL 1760590962) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11030703) | |
| Enumeration Date | 2024-04-09 |
| Last Update Date | 2024-08-20 |