| NPI | 1386408920 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: FL 11031212) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL 9456707) |
| Enumeration Date | 2024-02-13 |
| Last Update Date | 2024-02-15 |