| NPI | 1144114307 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NE 116164) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NE 91136) |
| 363LF0000X Nurse Practitioner, Family (Licence: IA A186801) | |
| Enumeration Date | 2025-06-04 |
| Last Update Date | 2025-09-10 |