| NPI | 1780351650 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5016266) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 12.009943) |
| Enumeration Date | 2021-08-27 |
| Last Update Date | 2023-01-11 |