| NPI | 1629963418 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 30622) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC 255102) |
| Enumeration Date | 2025-06-11 |
| Last Update Date | 2025-08-08 |