| NPI | 1285475921 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NC 5020794) |
| Additional Taxonomies | 163WP2201X Registered Nurse Ambulatory Care (Licence: MA RN2353364) |
| Enumeration Date | 2024-06-05 |
| Last Update Date | 2025-07-07 |