| NPI | 1285135228 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MS 902520) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MS 902520) |
| Enumeration Date | 2018-02-26 |
| Last Update Date | 2022-08-16 |