| NPI | 1649731407 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5011712) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC REDN-101802) |
| Enumeration Date | 2019-03-26 |
| Last Update Date | 2025-01-13 |