| NPI | 1336676444 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5015083) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71007509A) |
| Enumeration Date | 2017-05-19 |
| Last Update Date | 2025-09-17 |