| NPI | 1801646245 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: WI 15201-33) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WI 15201-33) |
| Enumeration Date | 2024-03-26 |
| Last Update Date | 2025-01-03 |