| NPI | 1982836441 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: UT 5642777-4405) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: UT 5642777-4405) |
| Enumeration Date | 2009-08-18 |
| Last Update Date | 2024-12-23 |