| NPI | 1184401069 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: KY 4024424) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: CA 95035632) |
| Enumeration Date | 2023-09-13 |
| Last Update Date | 2025-07-17 |