| NPI | 1922660232 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9373783) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL aprn9373783) |
| Enumeration Date | 2019-07-08 |
| Last Update Date | 2024-08-08 |