| NPI | 1003778580 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC F02250361) |
| Additional Taxonomies | 363LC1500X Nurse Practitioner, Community Health (Licence: NC F02250361) |
| Enumeration Date | 2025-12-02 |
| Last Update Date | 2025-12-02 |