| NPI | 1356236962 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MN 13018) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: WI 17244-33) |
| Enumeration Date | 2025-06-12 |
| Last Update Date | 2025-08-19 |