| NPI | 1992026967 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: FL APRN9247061) |
| Additional Taxonomies | 174400000X Specialist (Licence: FL 9247061) |
| 363LF0000X Nurse Practitioner, Family (Licence: NC 5004832) | |
| Enumeration Date | 2010-06-14 |
| Last Update Date | 2022-05-04 |