| NPI | 1275027641 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ND R39008) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MN 6027) |
| Enumeration Date | 2018-06-19 |
| Last Update Date | 2025-10-10 |