| NPI | 1629851787 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11048337) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9570449) |
| Enumeration Date | 2023-08-14 |
| Last Update Date | 2026-06-12 |