| NPI | 1760146724 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11027305) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 5015269) |
| Enumeration Date | 2021-10-26 |
| Last Update Date | 2025-04-29 |