| NPI | 1669252888 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 14561) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WI 14561-33) |
| Enumeration Date | 2023-10-04 |
| Last Update Date | 2024-02-05 |