| NPI | 1710376447 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11009484) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 5007402) |
| 363LF0000X Nurse Practitioner, Family (Licence: MA RN276961) | |
| Enumeration Date | 2015-01-19 |
| Last Update Date | 2025-06-30 |