| NPI | 1740706449 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: FL APRN9494337) |
| Additional Taxonomies | 208D00000X General Practice (Licence: GA RN267082) |
| Enumeration Date | 2017-08-15 |
| Last Update Date | 2022-08-15 |