| NPI | 1023967189 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL F11250556) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL F11250556) |
| Enumeration Date | 2026-01-22 |
| Last Update Date | 2026-02-15 |