| NPI | 1356093983 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM 66772) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NM 66772) |
| Enumeration Date | 2022-01-25 |
| Last Update Date | 2022-04-12 |