| NPI | 1942789631 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9284523) |
| Additional Taxonomies | 208D00000X General Practice (Licence: FL 9284523) |
| Enumeration Date | 2018-08-13 |
| Last Update Date | 2023-12-06 |