| NPI | 1346125481 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 2025034382) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC F06251024) |
| Enumeration Date | 2025-08-07 |
| Last Update Date | 2025-08-07 |