| NPI | 1609344464 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AZ 219044) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ 219044) |
| Enumeration Date | 2018-11-08 |
| Last Update Date | 2023-10-18 |