| NPI | 1417426958 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MS 902334) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-165268) |
| Enumeration Date | 2018-11-14 |
| Last Update Date | 2025-10-06 |