| NPI | 1700347531 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA 204207) |
| Additional Taxonomies | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: LA 204207) |
| 207R00000X Internal Medicine (Licence: LA 204207) | |
| Enumeration Date | 2019-03-26 |
| Last Update Date | 2022-10-05 |