| NPI | 1285186148 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5023454) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC 25522) |
| Enumeration Date | 2016-10-26 |
| Last Update Date | 2025-12-08 |