| NPI | 1700503976 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: FL APRN11022551) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL 11022551) |
| Enumeration Date | 2022-10-27 |
| Last Update Date | 2022-12-30 |