| NPI | 1538794342 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL 11006592) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL 11006592) |
| 207R00000X Internal Medicine (Licence: FL 11006592) | |
| 208D00000X General Practice (Licence: FL 11006592) | |
| Enumeration Date | 2020-03-12 |
| Last Update Date | 2026-08-19 |