| NPI | 1326644659 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11008338) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL APRN11008338) |
| 363L00000X Nurse Practitioner (Licence: FL APRN11008338) | |
| Enumeration Date | 2020-12-10 |
| Last Update Date | 2024-06-05 |