| NPI | 1578173902 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5015158) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TN 27914) |
| 363LF0000X Nurse Practitioner, Family (Licence: TN 27914) | |
| Enumeration Date | 2020-07-31 |
| Last Update Date | 2023-10-12 |