| NPI | 1679037279 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: MS 903154) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MS 903154) |
| Enumeration Date | 2019-01-28 |
| Last Update Date | 2026-07-24 |