| NPI | 1013622836 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM 71568) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL 11023307) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL 11023307) | |
| Enumeration Date | 2023-01-16 |
| Last Update Date | 2023-05-19 |