| NPI | 1598529448 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5022630) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC 28364) |
| Enumeration Date | 2024-02-12 |
| Last Update Date | 2025-10-22 |