| NPI | 1013564798 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5012127) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: NC 5012127) |
| 363L00000X Nurse Practitioner (Licence: NC 5012127) | |
| Enumeration Date | 2019-08-19 |
| Last Update Date | 2026-01-20 |