| NPI | 1578287454 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IA A171278) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IA A171278) |
| 363LF0000X Nurse Practitioner, Family (Licence: IA A171278) | |
| Enumeration Date | 2022-10-03 |
| Last Update Date | 2023-08-01 |