| NPI | 1114680394 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: AZ 265327) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AZ 265327) |
| Enumeration Date | 2021-10-14 |
| Last Update Date | 2024-08-26 |