| NPI | 1588316533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 29780) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: SC 222498) |
| Enumeration Date | 2022-01-21 |
| Last Update Date | 2025-09-05 |