| NPI | 1538603675 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL APRN9280621) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 9280621) |
| Enumeration Date | 2016-12-08 |
| Last Update Date | 2024-04-03 |