| NPI | 1760949630 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2019007172) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AZ 292367) |
| Enumeration Date | 2019-02-26 |
| Last Update Date | 2024-11-05 |