| NPI | 1154213551 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ID 5581518) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NV 833814) |
| Enumeration Date | 2025-07-18 |
| Last Update Date | 2026-07-13 |