| NPI | 1942804471 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95023124) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN11010213) |
| 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: FL APRN11010213) | |
| Enumeration Date | 2020-11-25 |
| Last Update Date | 2023-03-27 |