| NPI | 1992421853 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5017046) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC 5017046) |
| Enumeration Date | 2022-10-12 |
| Last Update Date | 2024-04-11 |