| NPI | 1437729993 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 029186) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL RN9424877) |
| Enumeration Date | 2021-06-28 |
| Last Update Date | 2022-07-26 |