| NPI | 1730568601 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN9189669) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: FL ARNP9189669) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: FL ARNP9189669) | |
| Enumeration Date | 2015-05-26 |
| Last Update Date | 2023-05-08 |