| NPI | 1386578615 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 31870) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: SC 31870) |
| Enumeration Date | 2026-06-11 |
| Last Update Date | 2026-08-04 |