| NPI | 1245930981 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL aprn11017019) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL aprn11017019) |
| Enumeration Date | 2023-03-09 |
| Last Update Date | 2024-02-03 |