| NPI | 1003695727 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD F09230709) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX 1140075) |
| Enumeration Date | 2023-09-22 |
| Last Update Date | 2024-12-21 |