| NPI | 1831746395 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO 0996646) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NM 83540) |
| Enumeration Date | 2019-08-20 |
| Last Update Date | 2025-04-21 |