| NPI | 1184388753 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5015316) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC 29712) |
| Enumeration Date | 2021-10-28 |
| Last Update Date | 2025-05-13 |