| NPI | 1538843503 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5021626) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 254392) |
| Enumeration Date | 2023-06-12 |
| Last Update Date | 2025-02-05 |