| NPI | 1750227468 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5024400) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC GOSS-92RT6) |
| Enumeration Date | 2026-04-25 |
| Last Update Date | 2026-06-02 |