| NPI | 1356278337 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: SD 200620) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: SD 200620) |
| Enumeration Date | 2026-05-05 |
| Last Update Date | 2026-07-27 |