| NPI | 1811668460 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2021029674) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MO 2021029674) |
| 207N00000X Dermatology (Licence: MO 2021029674) | |
| Enumeration Date | 2021-09-23 |
| Last Update Date | 2025-09-03 |