| NPI | 1508673229 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AK 232118) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NV 892669) |
| Enumeration Date | 2024-12-16 |
| Last Update Date | 2025-09-13 |