| NPI | 1245732239 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9338347) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL F02180320) |
| Enumeration Date | 2018-03-06 |
| Last Update Date | 2021-04-14 |