| NPI | 1578057196 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WY 41477.1760) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: WY 1760) |
| Enumeration Date | 2018-06-18 |
| Last Update Date | 2025-05-14 |