| NPI | 1437689239 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: FL APRN11012116) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA F06170516) |
| Enumeration Date | 2017-06-14 |
| Last Update Date | 2023-04-13 |