| NPI | 1669169207 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL APRN11025749) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11025749) |
| Enumeration Date | 2023-04-24 |
| Last Update Date | 2024-07-01 |