| NPI | 1346672748 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: LA AP07234) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: LA AP07234) |
| Enumeration Date | 2013-08-07 |
| Last Update Date | 2023-05-30 |