| NPI | 1306656673 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NE 115818) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IA A182709) |
| Enumeration Date | 2025-01-09 |
| Last Update Date | 2025-03-25 |