| NPI | 1588230007 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5015216) |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: NC F05210015) |
| Enumeration Date | 2021-06-03 |
| Last Update Date | 2024-10-22 |