| NPI | 1659749471 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NE 111817) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OR 10011957) |
| Enumeration Date | 2015-09-10 |
| Last Update Date | 2025-09-16 |