| NPI | 1235739855 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 24974) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 5013446) |
| 363L00000X Nurse Practitioner (Licence: NC 5013446) | |
| Enumeration Date | 2020-11-01 |
| Last Update Date | 2026-01-08 |