| NPI | 1053209528 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5022497) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC 30639) |
| Enumeration Date | 2025-06-25 |
| Last Update Date | 2025-07-29 |