| NPI | 1649136748 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC F06250892) |
| Additional Taxonomies | 174400000X Specialist |
| Enumeration Date | 2026-01-02 |
| Last Update Date | 2026-01-02 |