| NPI | 1285376087 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NM 60815) |
| Additional Taxonomies | 208D00000X General Practice (Licence: NM 60815) |
| 163W00000X Registered Nurse (Licence: NM 60815) | |
| 207Q00000X Family Medicine (Licence: NM 60815) | |
| 207R00000X Internal Medicine (Licence: NM 60815) | |
| Enumeration Date | 2022-04-12 |
| Last Update Date | 2025-03-05 |