| NPI | 1134969744 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 4704348656) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704348656) |
| Enumeration Date | 2024-05-30 |
| Last Update Date | 2024-06-04 |