| NPI | 1629861075 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NC 5022406) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: SC 30664) |
| Enumeration Date | 2025-05-28 |
| Last Update Date | 2025-07-16 |