| NPI | 1790137024 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD NP500022581) |
| Additional Taxonomies | 174H00000X Health Educator |
| 363L00000X Nurse Practitioner (Licence: MA RN2330675) | |
| Enumeration Date | 2016-07-11 |
| Last Update Date | 2025-06-02 |