| NPI | 1801222849 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN9193149) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9193149) |
| 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: FL ARNP9193149) | |
| Enumeration Date | 2013-09-23 |
| Last Update Date | 2023-05-15 |