| NPI | 1578017307 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 31645) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 5021513) |
| Enumeration Date | 2016-08-10 |
| Last Update Date | 2026-04-15 |