| NPI | 1386415339 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5019404) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: NC 5019404) |
| 363L00000X Nurse Practitioner (Licence: NC 5019404) | |
| Enumeration Date | 2024-01-09 |
| Last Update Date | 2026-01-06 |