| NPI | 1154708071 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5021684) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP9247717) |
| Enumeration Date | 2015-04-29 |
| Last Update Date | 2025-06-13 |