| NPI | 1518644525 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: FL 11035100) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: AR 120100) |
| Enumeration Date | 2023-06-30 |
| Last Update Date | 2024-09-06 |