| NPI | 1598438012 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11014511) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL F07210460) |
| 363L00000X Nurse Practitioner (Licence: FL APRN11014511) | |
| Enumeration Date | 2021-07-29 |
| Last Update Date | 2022-12-08 |