| NPI | 1497420129 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD F05210848) |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: MD R187414) |
| Enumeration Date | 2021-08-13 |
| Last Update Date | 2025-02-18 |