| NPI | 1235788787 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11004365) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL RN9383813) |
| Enumeration Date | 2019-09-07 |
| Last Update Date | 2020-05-07 |