| NPI | 1598596470 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5022476) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP030365) |
| 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: PA SP030365) | |
| Enumeration Date | 2024-08-12 |
| Last Update Date | 2025-11-06 |