| NPI | 1053003954 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: SC 30132) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: SC 244224) |
| Enumeration Date | 2023-05-22 |
| Last Update Date | 2025-04-15 |