| NPI | 1326798398 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5015972) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC PEND-HTO2D) |
| Enumeration Date | 2022-03-24 |
| Last Update Date | 2022-06-02 |