| NPI | 1073022380 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: FL ARNP9324388) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ARNP9324388) |
| 363LF0000X Nurse Practitioner Family (Licence: FL RN9324388) | |
| Enumeration Date | 2017-09-29 |
| Last Update Date | 2022-07-21 |