| NPI | 1154141075 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: FL 11035920) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: AL 3-002367) |
| Enumeration Date | 2024-10-15 |
| Last Update Date | 2025-06-09 |