| NPI | 1538694971 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1148600) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AL 1-148600) |
| Enumeration Date | 2017-04-24 |
| Last Update Date | 2025-04-29 |