| NPI | 1639779283 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IA A159963) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IA A159963) |
| Enumeration Date | 2020-10-31 |
| Last Update Date | 2021-01-04 |