| NPI | 1306739073 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5022829) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5022829) |
| 363LF0000X Nurse Practitioner, Family (Licence: SC 29722) | |
| Enumeration Date | 2025-06-02 |
| Last Update Date | 2025-11-12 |