| NPI | 1669035705 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11001751) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL APRN11001751) |
| 261QU0200X Clinic/Center, Urgent Care (Licence: FL APRN11001751) | |
| Enumeration Date | 2019-04-15 |
| Last Update Date | 2025-04-02 |