| NPI | 1508695016 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: FL 11033511) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL 11033511) |
| Enumeration Date | 2024-08-01 |
| Last Update Date | 2024-08-22 |