| NPI | 1477171197 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA 211812) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: LA 211812) |
| Enumeration Date | 2020-07-09 |
| Last Update Date | 2022-10-05 |