| NPI | 1528641560 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R271854) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MD AC003570) |
| Enumeration Date | 2021-04-28 |
| Last Update Date | 2025-10-09 |