| NPI | 1124690896 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5022247) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ 259173) |
| Enumeration Date | 2021-07-13 |
| Last Update Date | 2025-10-07 |