| NPI | 1700581048 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WI 13545-33) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WI 13545-33) |
| Enumeration Date | 2023-04-04 |
| Last Update Date | 2024-09-13 |