| NPI | 1578032827 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 22387) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 5023028) |
| Enumeration Date | 2018-11-15 |
| Last Update Date | 2025-11-14 |