| NPI | 1568295178 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11034386) |
| Additional Taxonomies | 2086X0206X Surgery, Surgical Oncology (Licence: FL APRN11034386) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11034386) | |
| Enumeration Date | 2024-08-21 |
| Last Update Date | 2024-08-21 |