| NPI | 1124889076 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5019449) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 386388) |
| Enumeration Date | 2024-01-18 |
| Last Update Date | 2025-09-15 |