| NPI | 1841050010 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: MI 4704255419) |
| Additional Taxonomies | 207QA0000X Family Medicine, Adolescent Medicine (Licence: MI 4704255419) |
| 207QG0300X Family Medicine, Geriatric Medicine (Licence: MI 4704255419) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: MI 4704255419) | |
| Enumeration Date | 2024-03-22 |
| Last Update Date | 2024-05-01 |