| NPI | 1164317103 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5022346) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC F04250252) |
| 363L00000X Nurse Practitioner (Licence: NC F04250252) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: NC F04250252) | |
| Enumeration Date | 2025-06-10 |
| Last Update Date | 2025-07-21 |