| NPI | 1336939339 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA 237767) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MS 907237) |
| Enumeration Date | 2025-05-12 |
| Last Update Date | 2025-05-12 |