| NPI | 1982648382 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MS R701025) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: MS R701025) |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2025-08-25 |