| NPI | 1902542194 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11019501) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL APRN11019501) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: FL APRN11019501) | |
| Enumeration Date | 2022-05-10 |
| Last Update Date | 2022-05-10 |