| NPI | 1669107207 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 30001) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: SC 218367) |
| Enumeration Date | 2022-07-18 |
| Last Update Date | 2025-04-30 |