| NPI | 1225500259 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine Adult Medicine (Licence: CA NP95020624) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: AZ 220421) |
| Enumeration Date | 2019-01-02 |
| Last Update Date | 2023-07-07 |