| NPI | 1154214872 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 30378A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC 30378) |
| Enumeration Date | 2025-06-02 |
| Last Update Date | 2025-07-24 |