| NPI | 1740948355 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11016813) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL 11016813) |
| Enumeration Date | 2021-11-30 |
| Last Update Date | 2022-05-05 |