| NPI | 1912685546 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: NC 2023086268) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC 2023086268) |
| 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: NC 2023086268) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NC 2023086268) | |
| Enumeration Date | 2023-07-05 |
| Last Update Date | 2024-07-16 |