| NPI | 1477297190 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11019420) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: FL APRN11019420) |
| Enumeration Date | 2022-04-27 |
| Last Update Date | 2022-08-19 |