| NPI | 1124662846 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5012508) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC F09191237) |
| Enumeration Date | 2019-11-06 |
| Last Update Date | 2025-03-19 |