| NPI | 1528692969 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 27983) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11006329) |
| Enumeration Date | 2020-02-25 |
| Last Update Date | 2026-07-29 |