| NPI | 1396401261 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11016759) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL F11210384) |
| 207Q00000X Family Medicine (Licence: FL APRN11016759) | |
| Enumeration Date | 2021-11-15 |
| Last Update Date | 2023-01-20 |