| NPI | 1770116998 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC F02200203) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 5012933) |
| Enumeration Date | 2020-02-17 |
| Last Update Date | 2023-10-16 |