| NPI | 1013641992 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 10022906) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ 277755) |
| Enumeration Date | 2022-07-15 |
| Last Update Date | 2025-05-01 |