| NPI | 1801430715 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: FL ARNP11007862) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: NC AG10190123) |
| Enumeration Date | 2019-11-04 |
| Last Update Date | 2022-09-28 |