| NPI | 1699658245 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IA A185916) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NE 116191) |
| Enumeration Date | 2025-07-30 |
| Last Update Date | 2025-07-30 |