| NPI | 1184213068 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL APRN11009177) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11009177) |
| Enumeration Date | 2021-01-14 |
| Last Update Date | 2021-07-27 |