| NPI | 1447713607 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IA A154274) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IA A154274) |
| Enumeration Date | 2019-04-12 |
| Last Update Date | 2023-12-21 |