| NPI | 1558116483 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MT 236351) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MT 236351) |
| Enumeration Date | 2024-04-23 |
| Last Update Date | 2024-05-28 |