| NPI | 1871027516 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM 88497) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2017006151) |
| Enumeration Date | 2017-04-19 |
| Last Update Date | 2026-05-08 |