| NPI | 1295513257 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2023028242) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2023028242) |
| Enumeration Date | 2023-09-20 |
| Last Update Date | 2023-10-17 |