| NPI | 1760014443 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ID 1961070) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95009548) |
| Enumeration Date | 2020-02-10 |
| Last Update Date | 2025-11-10 |