| NPI | 1629539473 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5011622) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 5011622) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: NC 5011622) | |
| Enumeration Date | 2019-03-26 |
| Last Update Date | 2026-05-13 |