| NPI | 1225623671 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL APRN11028652) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2322733) |
| Enumeration Date | 2021-03-08 |
| Last Update Date | 2024-11-21 |