| NPI | 1487307823 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5021100) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95019828) |
| Enumeration Date | 2022-01-26 |
| Last Update Date | 2025-10-23 |