| NPI | 1558149617 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11028331) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL APRN11028331) |
| 207Q00000X Family Medicine (Licence: FL APRN11028331) | |
| Enumeration Date | 2023-09-20 |
| Last Update Date | 2023-11-10 |