| NPI | 1538988639 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD AC007429) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 5021859) |
| Enumeration Date | 2024-10-07 |
| Last Update Date | 2026-01-30 |