| NPI | 1851851554 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN11001870) |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine (Licence: FL 11001870) |
| Enumeration Date | 2019-03-20 |
| Last Update Date | 2023-08-08 |