| NPI | 1083247613 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NV 815197) |
| Additional Taxonomies | 207QA0505X Family Medicine Adult Medicine (Licence: NV 815197) |
| 207QG0300X Family Medicine Geriatric Medicine (Licence: NV 815197) | |
| Enumeration Date | 2020-02-21 |
| Last Update Date | 2020-03-19 |