| NPI | 1235808585 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: IA A164679) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IA 1129633) |
| 207Q00000X Family Medicine (Licence: WI 1129633) | |
| 363LF0000X Nurse Practitioner, Family (Licence: WI 11296-33) | |
| Enumeration Date | 2021-09-09 |
| Last Update Date | 2022-07-22 |