| NPI | 1871180968 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5014281) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC F08200047) |
| Enumeration Date | 2020-12-23 |
| Last Update Date | 2022-04-11 |