| NPI | 1063247161 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL F07241435) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: FL F07241435) |
| Enumeration Date | 2024-09-06 |
| Last Update Date | 2025-11-05 |