| NPI | 1306375829 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: SC 20805) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: SC 20805) |
| 2083B0002X Preventive Medicine Obesity Medicine (Licence: SC 20805) | |
| Enumeration Date | 2017-06-08 |
| Last Update Date | 2024-05-09 |