| NPI | 1134930746 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NE 115850) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC 29762) |
| Enumeration Date | 2025-01-15 |
| Last Update Date | 2025-02-21 |