| NPI | 1386379790 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IA A174346) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2021042807) |
| Enumeration Date | 2022-07-19 |
| Last Update Date | 2025-07-14 |