| NPI | 1710749072 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM 77209) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NM 77209) |
| Enumeration Date | 2024-01-23 |
| Last Update Date | 2024-03-13 |