| NPI | 1194179226 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS 901498) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MS 901498) |
| Enumeration Date | 2016-04-14 |
| Last Update Date | 2024-11-05 |