| NPI | 1093384802 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NH 112779-23) | 
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: UT 9420341-4405) | 
| Enumeration Date | 2021-06-24 | 
| Last Update Date | 2025-04-16 |