| NPI | 1194556399 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ID 6161377) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MT 268857) |
| Enumeration Date | 2024-08-09 |
| Last Update Date | 2025-11-09 |