| NPI | 1235643214 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 1353433) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2319477) |
| Enumeration Date | 2017-11-29 |
| Last Update Date | 2025-05-19 |