| NPI | 1639856412 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ID 9271166) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95025761) |
| Enumeration Date | 2023-07-03 |
| Last Update Date | 2025-07-02 |