| NPI | 1205493327 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11002297) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL 11002297) |
| 363L00000X Nurse Practitioner (Licence: FL APRN11002297) | |
| Enumeration Date | 2019-05-23 |
| Last Update Date | 2023-06-12 |