| NPI | 1780909358 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9260792) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NE 112692) |
| Enumeration Date | 2010-04-07 |
| Last Update Date | 2023-09-04 |