| NPI | 1841852852 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5011942) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC F05190405) |
| Enumeration Date | 2019-07-01 |
| Last Update Date | 2023-11-27 |