| NPI | 1073212585 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS 907565) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AR 223478) |
| Enumeration Date | 2023-02-23 |
| Last Update Date | 2025-09-25 |