| NPI | 1487455036 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA 240977) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MS 907340) |
| 163W00000X Registered Nurse (Licence: MS 913403) | |
| Enumeration Date | 2025-03-20 |
| Last Update Date | 2025-10-14 |