| NPI | 1730821851 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: MS 907153) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-117391) |
| Enumeration Date | 2022-04-09 |
| Last Update Date | 2025-01-20 |