| NPI | 1093540940 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: MS 906917) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MS 906917) |
| Enumeration Date | 2024-09-02 |
| Last Update Date | 2024-09-27 |