| NPI | 1528741121 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5019516) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC 27701) |
| Enumeration Date | 2023-08-09 |
| Last Update Date | 2026-06-18 |