| NPI | 1508601402 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5023108) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC F07250035) |
| Enumeration Date | 2024-07-01 |
| Last Update Date | 2025-11-14 |