| NPI | 1497427322 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: FL APRN11029393) |
| Additional Taxonomies | 163WS0121X Registered Nurse, Plastic Surgery (Licence: FL 9515295) |
| 363L00000X Nurse Practitioner (Licence: FL APRN11029393) | |
| Enumeration Date | 2021-09-29 |
| Last Update Date | 2024-03-15 |