| NPI | 1609384205 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 30320) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2017039080) |
| Enumeration Date | 2018-01-17 |
| Last Update Date | 2026-04-30 |