| NPI | 1730013905 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS 908648) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: MS 921564) |
| Enumeration Date | 2026-06-11 |
| Last Update Date | 2026-07-29 |