| NPI | 1851052427 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2022002215) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OK 205734) |
| Enumeration Date | 2022-01-06 |
| Last Update Date | 2022-03-16 |