| NPI | 1457100869 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 28211) |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: SC 28211) |
| Enumeration Date | 2024-05-16 |
| Last Update Date | 2024-10-18 |