| NPI | 1891395109 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 9850) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 9850) |
| Enumeration Date | 2020-10-27 |
| Last Update Date | 2021-01-21 |