| NPI | 1700550951 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5022874) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: NC 165680) |
| Enumeration Date | 2021-08-02 |
| Last Update Date | 2025-08-18 |