| NPI | 1164082020 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: FL 11002282) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL APRN11002282) |
| Enumeration Date | 2019-06-13 |
| Last Update Date | 2024-07-11 |