| NPI | 1437995099 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: ND 200263) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: ND R39089) |
| Enumeration Date | 2024-07-03 |
| Last Update Date | 2024-09-12 |