| NPI | 1033984554 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 10034451) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: UT 7923124-4405) |
| Enumeration Date | 2023-11-15 |
| Last Update Date | 2025-01-13 |