| NPI | 1417761651 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: WV 122682) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: MD AC007316) |
| Enumeration Date | 2025-02-06 |
| Last Update Date | 2025-09-04 |