| NPI | 1477015378 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ID 60594) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OR 201904001NP-PP) |
| Enumeration Date | 2019-04-01 |
| Last Update Date | 2026-08-17 |