| NPI | 1538767173 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5013674) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC F05200315) |
| Enumeration Date | 2020-10-15 |
| Last Update Date | 2025-07-02 |