| NPI | 1154907400 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: NM 63238) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NM 63268) |
| Enumeration Date | 2021-03-18 |
| Last Update Date | 2025-08-12 |