| NPI | 1356113625 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NE 115044) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IA A176263) |
| Enumeration Date | 2023-10-30 |
| Last Update Date | 2025-01-17 |