| NPI | 1922772441 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: FL 11014690) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL 11014690) |
| Enumeration Date | 2021-08-07 |
| Last Update Date | 2023-05-09 |