| NPI | 1972187482 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA 213866) |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: CA 95017106) |
| Enumeration Date | 2021-05-11 |
| Last Update Date | 2022-01-12 |