| NPI | 1437579091 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS R885494) |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty (Licence: MS 885494) |
| 261QU0200X Clinic/Center, Urgent Care (Licence: MS 885494) | |
| Enumeration Date | 2014-04-22 |
| Last Update Date | 2025-09-10 |