| NPI | 1669926978 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: AK 114314) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AK 114314) |
| Enumeration Date | 2016-08-04 |
| Last Update Date | 2024-09-04 |