| NPI | 1306238704 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MO 2014038747) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MO 2014038747) |
| Enumeration Date | 2015-02-23 |
| Last Update Date | 2025-01-06 |