| NPI | 1306421797 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11008262) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL 11008262) |
| Enumeration Date | 2021-03-16 |
| Last Update Date | 2022-02-09 |