| NPI | 1639804966 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN11020786) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11020786) |
| Enumeration Date | 2022-07-20 |
| Last Update Date | 2024-08-29 |