| NPI | 1699424523 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: LA 224446) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: LA 224446) |
| Enumeration Date | 2022-03-19 |
| Last Update Date | 2023-11-14 |