| NPI | 1467079541 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP11007838) |
| Additional Taxonomies | 208D00000X General Practice (Licence: FL APRN11007838) |
| Enumeration Date | 2020-07-06 |
| Last Update Date | 2020-07-17 |