| NPI | 1831707470 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MS 904031) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: LA 229102) |
| Enumeration Date | 2020-07-20 |
| Last Update Date | 2023-03-14 |