| NPI | 1689062390 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5020267) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP014113) |
| Enumeration Date | 2015-01-03 |
| Last Update Date | 2025-05-13 |