| NPI | 1144996448 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL APRN11014877) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: FL APRN11014877) |
| Enumeration Date | 2021-08-18 |
| Last Update Date | 2023-03-01 |