| NPI | 1386420792 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5018941) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC LUCK-01RHH) |
| Enumeration Date | 2023-09-01 |
| Last Update Date | 2025-03-06 |