| NPI | 1376280198 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5022127) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: SC 25816) |
| Enumeration Date | 2022-05-13 |
| Last Update Date | 2025-07-24 |