| NPI | 1033950217 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS 906624) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: LA 237622) |
| Enumeration Date | 2024-06-03 |
| Last Update Date | 2025-09-11 |