| NPI | 1457720930 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ARNP 9370927) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9370927) |
| Enumeration Date | 2015-09-15 |
| Last Update Date | 2025-02-19 |