| NPI | 1295557981 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN110366687) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA F10240599) |
| Enumeration Date | 2024-10-25 |
| Last Update Date | 2025-04-20 |