| NPI | 1073162178 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NE 112819) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IA A128130) |
| Enumeration Date | 2019-09-10 |
| Last Update Date | 2025-10-10 |