| NPI | 1407472129 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11007659) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NM 74729) |
| 363L00000X Nurse Practitioner (Licence: MD AC004789) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NM 74729) | |
| Enumeration Date | 2020-06-18 |
| Last Update Date | 2023-11-13 |