| NPI | 1407410970 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11002198) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL 11002198) |
| Enumeration Date | 2019-04-30 |
| Last Update Date | 2021-07-10 |