NPI | 1760285951 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11038510) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL APRN11038510) |
363LW0102X Nurse Practitioner, Women's Health (Licence: FL APRN11038510) | |
Enumeration Date | 2025-03-31 |
Last Update Date | 2025-09-25 |