| NPI | 1346747995 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 21357) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CT 15530) |
| Enumeration Date | 2018-04-10 |
| Last Update Date | 2025-10-17 |