| NPI | 1689182065 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL arnp9313646) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL arnp9313646) |
| Enumeration Date | 2018-01-18 |
| Last Update Date | 2022-02-24 |