| NPI | 1356080808 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IA A182037) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2021047828) |
| Enumeration Date | 2022-06-02 |
| Last Update Date | 2025-06-06 |