| NPI | 1427561091 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV 819516) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC BUTL-8CQBBP) |
| Enumeration Date | 2017-11-06 |
| Last Update Date | 2025-04-12 |