| NPI | 1437820131 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NE 113813) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NE 113813) |
| Enumeration Date | 2021-09-22 |
| Last Update Date | 2025-06-10 |