| NPI | 1689452724 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 1689452724) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL rn9213211) |
| Enumeration Date | 2023-09-19 |
| Last Update Date | 2023-12-21 |