| NPI | 1164089025 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IA A154776) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NE 099298) |
| 363LF0000X Nurse Practitioner, Family (Licence: IA a154776) | |
| Enumeration Date | 2019-05-24 |
| Last Update Date | 2025-06-11 |