| NPI | 1740810043 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD F11190391) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MD F11190391) |
| 363LF0000X Nurse Practitioner, Family (Licence: DC NP1025074) | |
| Enumeration Date | 2020-01-25 |
| Last Update Date | 2023-08-02 |