| NPI | 1619863537 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 30656) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: SC 259725) |
| Enumeration Date | 2025-06-16 |
| Last Update Date | 2025-07-20 |