| NPI | 1811471758 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL APRN9415339) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9415339) |
| 207P00000X Emergency Medicine (Licence: FL APRN9415339) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: FL APRN9415339) | |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: FL aprn9415339) | |
| Enumeration Date | 2018-09-17 |
| Last Update Date | 2025-10-24 |