| NPI | 1538834056 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: SC 30208) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: PA SP024245) |
| Enumeration Date | 2021-08-16 |
| Last Update Date | 2025-08-15 |