| NPI | 1770182693 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R198975) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MD F09201554) |
| Enumeration Date | 2020-10-21 |
| Last Update Date | 2020-11-17 |