| NPI | 1376699017 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP1169282) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL 1169282) |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2024-03-05 |