| NPI | 1477011302 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5012516) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024194674) |
| Enumeration Date | 2019-03-11 |
| Last Update Date | 2025-10-28 |