| NPI | 1669985461 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5010158) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024175187) |
| Enumeration Date | 2017-11-15 |
| Last Update Date | 2024-12-19 |