| NPI | 1093484263 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ND R38981) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: ND R38981) |
| Enumeration Date | 2021-09-10 |
| Last Update Date | 2023-01-09 |