| NPI | 1235704537 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 10006209) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: ID 67450) |
| Enumeration Date | 2021-05-20 |
| Last Update Date | 2025-10-31 |