| NPI | 1720615958 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AK 237063) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL aprn11005954) |
| Enumeration Date | 2020-03-26 |
| Last Update Date | 2025-08-09 |