| NPI | 1487474201 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM 82004) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NM RN82004) |
| Enumeration Date | 2024-10-15 |
| Last Update Date | 2025-03-08 |