| NPI | 1144094244 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R267243) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95026643) |
| Enumeration Date | 2023-11-08 |
| Last Update Date | 2025-03-18 |