| NPI | 1487345377 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5022896) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024187102) |
| Enumeration Date | 2023-05-19 |
| Last Update Date | 2026-08-13 |