| NPI | 1134840812 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2025031162) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 5016877) |
| Enumeration Date | 2022-09-09 |
| Last Update Date | 2025-07-25 |