| NPI | 1326544289 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5010467) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC F03180961) |
| Enumeration Date | 2018-03-31 |
| Last Update Date | 2022-09-22 |