| NPI | 1316472665 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5016552) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 339940) |
| Enumeration Date | 2017-04-25 |
| Last Update Date | 2025-01-20 |