NPI | 1295388783 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD R210853) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: MD R210853) |
Enumeration Date | 2019-07-23 |
Last Update Date | 2025-09-25 |