| NPI | 1194473702 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5016009) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC F10210470) |
| Enumeration Date | 2022-03-13 |
| Last Update Date | 2023-03-06 |