| NPI | 1073189577 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL F03200579) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2376303) |
| Enumeration Date | 2021-06-03 |
| Last Update Date | 2026-05-13 |