| NPI | 1699578153 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11036255) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9619434) |
| Enumeration Date | 2025-03-31 |
| Last Update Date | 2025-03-31 |