| NPI | 1841710670 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: FL APRN9350266) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC 5015728) |
| 363L00000X Nurse Practitioner (Licence: FL ARNP9350266) | |
| 363LF0000X Nurse Practitioner Family (Licence: NC 5015728) | |
| Enumeration Date | 2017-06-22 |
| Last Update Date | 2024-08-13 |