| NPI | 1114371861 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NE 111997) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WY 48698) |
| Enumeration Date | 2016-04-19 |
| Last Update Date | 2025-09-09 |