| NPI | 1750044947 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IA A166120) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IA A166120) |
| Enumeration Date | 2021-10-15 |
| Last Update Date | 2024-07-04 |