| NPI | 1740888643 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: FL APRN11009543) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL APRN11009543) |
| Enumeration Date | 2020-10-13 |
| Last Update Date | 2021-08-10 |