| NPI | 1053287003 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5023486) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: NC 5023486) |
| 363LF0000X Nurse Practitioner, Family (Licence: NC 5023486) | |
| Enumeration Date | 2025-10-16 |
| Last Update Date | 2026-07-02 |