| NPI | 1376477505 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS 899038) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: MS 899038) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MS 899038) | |
| Enumeration Date | 2026-06-11 |
| Last Update Date | 2026-07-29 |