| NPI | 1235855388 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA 238360) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NM 70388) |
| Enumeration Date | 2022-10-19 |
| Last Update Date | 2025-02-06 |