| NPI | 1245834118 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11010285) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL APRN11010285) |
| Enumeration Date | 2020-11-22 |
| Last Update Date | 2024-02-05 |