| NPI | 1225907702 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 31386) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: SC 275435) |
| 363L00000X Nurse Practitioner (Licence: SC 31386) | |
| Enumeration Date | 2025-11-03 |
| Last Update Date | 2026-03-26 |