| NPI | 1487314175 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: FL 11017122) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11017122) |
| Enumeration Date | 2021-12-22 |
| Last Update Date | 2022-02-09 |