| NPI | 1235952763 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5021134) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC ROGE-HFNPG) |
| Enumeration Date | 2024-11-04 |
| Last Update Date | 2025-02-05 |