| NPI | 1881330728 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11018578) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL 11018578) |
| Enumeration Date | 2022-05-12 |
| Last Update Date | 2024-03-07 |