| NPI | 1336478668 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL APRN9217446) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP9217446) |
| Enumeration Date | 2009-12-16 |
| Last Update Date | 2024-04-01 |