| NPI | 1366941866 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 10047504) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DC RN1045985) |
| Enumeration Date | 2018-02-09 |
| Last Update Date | 2025-11-11 |