| NPI | 1538823927 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11008698) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: FL APRN11008698) |
| Enumeration Date | 2021-10-22 |
| Last Update Date | 2023-09-21 |