| NPI | 1770107161 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 10041001) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 845030) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 1017838) | |
| Enumeration Date | 2020-06-02 |
| Last Update Date | 2025-10-21 |