| NPI | 1538773791 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 28381) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11009039) |
| Enumeration Date | 2020-09-04 |
| Last Update Date | 2025-07-18 |