| NPI | 1366943334 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS 902510) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: ND R48267) |
| 363L00000X Nurse Practitioner (Licence: MN 2495886) | |
| Enumeration Date | 2018-02-26 |
| Last Update Date | 2025-10-03 |