| NPI | 1891202289 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD R161997) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R161997) |
| Enumeration Date | 2018-01-07 |
| Last Update Date | 2024-05-01 |