| NPI | 1407698681 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV 866855) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: UT 12084647-3102) |
| Enumeration Date | 2024-06-10 |
| Last Update Date | 2025-08-04 |