| NPI | 1063915015 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2017000440) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO f1116333) |
| Enumeration Date | 2018-03-16 |
| Last Update Date | 2025-04-03 |