| NPI | 1134968852 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 32040) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP029730) |
| Enumeration Date | 2024-05-22 |
| Last Update Date | 2026-07-21 |