| NPI | 1295345163 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: AZ 241812) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AZ 241812) |
| Enumeration Date | 2020-08-05 |
| Last Update Date | 2021-01-08 |