| NPI | 1871361220 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2023032739) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MO 2023032729) |
| Enumeration Date | 2023-12-14 |
| Last Update Date | 2024-10-03 |