| NPI | 1538872932 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MS 905730) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MS 905730) |
| Enumeration Date | 2022-12-30 |
| Last Update Date | 2025-03-25 |