| NPI | 1124726526 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5017759) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC Moore-38S85) |
| Enumeration Date | 2023-02-16 |
| Last Update Date | 2026-07-30 |