| 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 |