| NPI | 1538842240 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NM 74584) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NM 74584) |
| Enumeration Date | 2023-08-09 |
| Last Update Date | 2023-10-05 |