| NPI | 1508470527 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11018606) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL 2149562) |
| Enumeration Date | 2020-09-08 |
| Last Update Date | 2023-11-02 |