| NPI | 1518315480 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2016017425) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ 316041) |
| Enumeration Date | 2016-06-01 |
| Last Update Date | 2025-10-17 |