| NPI | 1174162473 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NC 5012906) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC F12190402) |
| Enumeration Date | 2020-01-03 |
| Last Update Date | 2020-02-25 |