| NPI | 1578331435 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA F07231300) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA F07231300) |
| Enumeration Date | 2023-12-19 |
| Last Update Date | 2024-01-25 |