| NPI | 1417669037 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5017861) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC F11220036) |
| 363LF0000X Nurse Practitioner, Family (Licence: NC 5017861) | |
| Enumeration Date | 2022-12-14 |
| Last Update Date | 2024-08-02 |