| NPI | 1144037292 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM 86099) |
| Additional Taxonomies | 247000000X Technician, Health Information |
| Enumeration Date | 2024-12-12 |
| Last Update Date | 2025-10-15 |