| NPI | 1720627300 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: FL APRN11004381) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL 11004381) |
| Enumeration Date | 2019-12-31 |
| Last Update Date | 2023-05-16 |