| NPI | 1821886649 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WY 44580) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MT APRN-262090) |
| Enumeration Date | 2025-04-30 |
| Last Update Date | 2025-04-30 |