| NPI | 1447966437 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 10011937) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 5017841) |
| Enumeration Date | 2023-01-24 |
| Last Update Date | 2025-04-11 |