| NPI | 1013854546 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 30270) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC 30270) |
| Enumeration Date | 2026-05-01 |
| Last Update Date | 2026-06-23 |