| NPI | 1720703192 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN11018861) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11018861) |
| Enumeration Date | 2022-10-07 |
| Last Update Date | 2024-01-26 |