| NPI | 1689473670 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NE 116015) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NE 86376) |
| Enumeration Date | 2025-03-11 |
| Last Update Date | 2026-06-17 |