| NPI | 1750889416 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS 903402) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: MS 902651) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: MS 902651) | |
| Enumeration Date | 2018-01-29 |
| Last Update Date | 2025-08-07 |