| NPI | 1265254338 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 30296) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NC 5021099) |
| Enumeration Date | 2024-10-29 |
| Last Update Date | 2025-07-14 |