| NPI | 1801554456 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11016749) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL 11016749) |
| 363L00000X Nurse Practitioner (Licence: FL 11016749) | |
| Enumeration Date | 2021-12-01 |
| Last Update Date | 2022-01-12 |