| NPI | 1215668413 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 29366) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2022022473) |
| Enumeration Date | 2022-06-20 |
| Last Update Date | 2025-05-28 |