| NPI | 1427785849 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS 905289) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MS 1841344892) |
| Enumeration Date | 2022-08-05 |
| Last Update Date | 2024-11-08 |