| NPI | 1700555943 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: UT 9781342-4405) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OR 10027856) |
| 363LF0000X Nurse Practitioner, Family (Licence: UT 9781342-4405) | |
| Enumeration Date | 2021-09-10 |
| Last Update Date | 2025-11-19 |