| NPI | 1932791621 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11010879) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: FL APRN11010879) |
| Enumeration Date | 2021-02-04 |
| Last Update Date | 2022-02-09 |