| NPI | 1396298501 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 5008571) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5008571) |
| 363LF0000X Nurse Practitioner, Family (Licence: NC 5008571) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: NC 5008571) | |
| Enumeration Date | 2016-07-25 |
| Last Update Date | 2023-05-16 |