| NPI | 1306661921 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 318624) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: UT 12931174-4405) |
| Enumeration Date | 2024-11-19 |
| Last Update Date | 2025-04-09 |