| NPI | 1366179509 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ND f08220262) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: ND f08220262) |
| 363LF0000X Nurse Practitioner, Family (Licence: ND R43520) | |
| Enumeration Date | 2022-08-08 |
| Last Update Date | 2023-03-08 |