| NPI | 1508611351 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5020025) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2022095470) |
| Enumeration Date | 2024-04-23 |
| Last Update Date | 2025-06-13 |