| NPI | 1356997597 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5012491) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: SC F08190356) |
| Enumeration Date | 2019-08-14 |
| Last Update Date | 2019-11-07 |