| NPI | 1245950773 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11021687) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL 11021687) |
| Enumeration Date | 2022-09-02 |
| Last Update Date | 2022-10-21 |