| NPI | 1043838451 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL 11009100) |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: FL F05200224) |
| Enumeration Date | 2020-07-13 |
| Last Update Date | 2023-01-19 |