| NPI | 1235943341 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS 907291) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: MS 896757) |
| 363LF0000X Nurse Practitioner, Family (Licence: AL 3-002196) | |
| Enumeration Date | 2025-02-07 |
| Last Update Date | 2025-04-22 |