| NPI | 1487382636 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC F08220083) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 274767) |
| Enumeration Date | 2022-08-14 |
| Last Update Date | 2025-09-15 |