| NPI | 1194208363 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NH 085125-23) |
| Additional Taxonomies | 207QB0002X Family Medicine, Bariatric Medicine (Licence: MA RN2279572) |
| Enumeration Date | 2018-09-12 |
| Last Update Date | 2023-04-26 |