| NPI | 1609467828 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IA A183099) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IA 182719) |
| Enumeration Date | 2021-01-30 |
| Last Update Date | 2026-05-10 |