| NPI | 1033464508 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MS R873896) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: MS R873896) |
| Enumeration Date | 2012-07-19 |
| Last Update Date | 2024-01-04 |