| NPI | 1780270280 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM CNP-62327) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NM 62327) |
| Enumeration Date | 2020-12-18 |
| Last Update Date | 2024-03-04 |