| NPI | 1366178956 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: LA 226944) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: LA 226944) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: LA 226944) | |
| Enumeration Date | 2022-07-27 |
| Last Update Date | 2025-01-31 |