| NPI | 1386529808 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ND 203157) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: ND 203157) |
| 363LF0000X Nurse Practitioner, Family (Licence: ND 203157) | |
| Enumeration Date | 2025-08-06 |
| Last Update Date | 2025-09-12 |