| NPI | 1538970066 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11036868) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: FL APRN11036868) |
| Enumeration Date | 2025-01-15 |
| Last Update Date | 2025-01-23 |