| NPI | 1124982194 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 31396) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC 254984) |
| Enumeration Date | 2025-12-12 |
| Last Update Date | 2026-03-23 |