| NPI | 1104293232 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP9297192) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL APRN9297192) |
| Enumeration Date | 2015-08-24 |
| Last Update Date | 2024-10-29 |