| NPI | 1154280451 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ID 4081202) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: ID N-40917) |
| Enumeration Date | 2026-01-21 |
| Last Update Date | 2026-03-11 |