| NPI | 1316580962 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-141732) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: AL 1-141732) |
| Enumeration Date | 2019-10-25 |
| Last Update Date | 2025-04-10 |