| NPI | 1013707181 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5024722) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 344823) |
| Enumeration Date | 2025-05-10 |
| Last Update Date | 2026-06-22 |