| NPI | 1285386094 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2020010061) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WI 17180-33) |
| Enumeration Date | 2022-01-23 |
| Last Update Date | 2025-12-03 |