| NPI | 1205424660 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5014448) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC 244489) |
| Enumeration Date | 2021-01-01 |
| Last Update Date | 2023-10-06 |