| NPI | 1427766559 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: IA A171710) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IA F10220918) |
| Enumeration Date | 2022-11-08 |
| Last Update Date | 2022-12-02 |