| NPI | 1699412353 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 10032057) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F349358) |
| Enumeration Date | 2022-05-15 |
| Last Update Date | 2025-01-27 |