| NPI | 1598307548 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11003029)  | 
| Additional Taxonomies | 208D00000X General Practice (Licence: FL APRN11003029)  | 
| 363LP2300X Nurse Practitioner, Primary Care (Licence: FL APRN11003029)  | |
| Enumeration Date | 2019-10-10 | 
| Last Update Date | 2024-01-08 |