| NPI | 1205399664 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11000017) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ARNP11000017) |
| Enumeration Date | 2019-04-11 |
| Last Update Date | 2023-03-20 |