| NPI | 1568959682 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL F04180293) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ARNP9398403) |
| Enumeration Date | 2018-04-13 |
| Last Update Date | 2020-06-25 |