| NPI | 1477028264 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5011126) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 237042) |
| Enumeration Date | 2018-10-08 |
| Last Update Date | 2025-09-04 |