| NPI | 1356235758 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5022332) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: NC 314155) |
| Enumeration Date | 2025-06-09 |
| Last Update Date | 2025-06-27 |