| NPI | 1225876345 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11033976) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NV 892781) |
| Enumeration Date | 2024-07-15 |
| Last Update Date | 2026-05-07 |