| NPI | 1982153458 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R176300) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD R176300) |
| 207Q00000X Family Medicine (Licence: MD R176300) | |
| Enumeration Date | 2016-09-26 |
| Last Update Date | 2024-05-03 |