| NPI | 1568347458 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5022852) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11040573) |
| Enumeration Date | 2025-08-08 |
| Last Update Date | 2025-09-22 |