| NPI | 1043794373 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 95014223) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: KS 53-78330-081) |
| 207R00000X Internal Medicine (Licence: CA 95014223) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 95014223) | |
| Enumeration Date | 2018-09-22 |
| Last Update Date | 2023-02-24 |