| NPI | 1669115911 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5016154) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC SILV-IU7DP) |
| Enumeration Date | 2022-04-14 |
| Last Update Date | 2026-01-28 |