| NPI | 1588277206 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MS 904034) |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: MS 904034) |
| Enumeration Date | 2020-08-24 |
| Last Update Date | 2021-09-29 |