| NPI | 1225843733 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5021831) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC 29963) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: NC 5021831) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: SC 29963) | |
| Enumeration Date | 2025-02-11 |
| Last Update Date | 2025-07-11 |