| NPI | 1134017528 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 30651) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: SC 201218) |
| Enumeration Date | 2025-06-25 |
| Last Update Date | 2025-08-26 |