| NPI | 1013425727 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9319636) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN9319636) |
| 207Q00000X Family Medicine (Licence: FL ARNP9319636) | |
| Enumeration Date | 2018-01-16 |
| Last Update Date | 2023-06-08 |