| NPI | 1306492806 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM 88646) |
| Additional Taxonomies | 163WS0200X Registered Nurse, School (Licence: NM RN-72590) |
| Enumeration Date | 2019-08-12 |
| Last Update Date | 2026-04-01 |