| NPI | 1477306199 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5020583) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 2023194402) |
| Enumeration Date | 2024-04-10 |
| Last Update Date | 2025-08-12 |