| NPI | 1952162869 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM 77437) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11040322) |
| Enumeration Date | 2024-01-18 |
| Last Update Date | 2025-10-14 |