| NPI | 1134825433 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5017617) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11032746) |
| Enumeration Date | 2023-02-07 |
| Last Update Date | 2024-12-11 |