| NPI | 1487997565 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5006119) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: NC 5006119) |
| 207Q00000X Family Medicine (Licence: NC 5006119) | |
| Enumeration Date | 2013-03-27 |
| Last Update Date | 2023-12-30 |