| NPI | 1720555121 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: FL 9454691) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL 9454691) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: FL 9454691) | |
| Enumeration Date | 2018-10-24 |
| Last Update Date | 2024-04-05 |