| NPI | 1396413936 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024192192) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704352470NSA210NL) |
| Enumeration Date | 2021-08-30 |
| Last Update Date | 2025-02-26 |