| NPI | 1023651080 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA F10190792) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: GA F10190792) |
| 207Q00000X Family Medicine (Licence: GA RN248182) | |
| 207R00000X Internal Medicine (Licence: GA RN248182) | |
| Enumeration Date | 2019-10-23 |
| Last Update Date | 2021-11-30 |