| NPI | 1720694201 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11005473) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL 11005473) |
| Enumeration Date | 2020-09-19 |
| Last Update Date | 2023-01-26 |