| NPI | 1568218006 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MT 261805) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: UT 217247-8900) |
| Enumeration Date | 2024-04-25 |
| Last Update Date | 2025-08-18 |