| NPI | 1033908348 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM 83848) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NM 83848) |
| Enumeration Date | 2025-05-02 |
| Last Update Date | 2025-09-02 |