| NPI | 1518770858 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD AC007885) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001281517) |
| Enumeration Date | 2025-01-30 |
| Last Update Date | 2025-07-28 |