| NPI | 1992586309 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: ID 77694) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: ID 77694) |
| Enumeration Date | 2023-10-11 |
| Last Update Date | 2023-10-17 |