| NPI | 1700851623 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 1597292) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL 1597292) |
| Enumeration Date | 2006-02-22 |
| Last Update Date | 2020-12-30 |