| NPI | 1245442672 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL RN9230731) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL 9230731) |
| 363L00000X Nurse Practitioner (Licence: FL 9230731) | |
| 363LF0000X Nurse Practitioner, Family (Licence: FL 9230731) | |
| Enumeration Date | 2007-05-06 |
| Last Update Date | 2024-01-02 |