| NPI | 1811471758 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL APRN9415339) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: FL APRN9415339) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9415339) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: FL APRN9415339) | |
| Enumeration Date | 2018-09-17 |
| Last Update Date | 2024-07-26 |