| NPI | 1144950387 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11018491) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC NP502114) |
| Enumeration Date | 2022-06-11 |
| Last Update Date | 2025-09-02 |