| NPI | 1184075715 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 10035565) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 21334) |
| Enumeration Date | 2016-06-24 |
| Last Update Date | 2025-05-09 |