| NPI | 1285108209 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5012994) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 579374) |
| Enumeration Date | 2019-01-12 |
| Last Update Date | 2023-11-08 |