| NPI | 1750252813 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5023348) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC F09250398) |
| Enumeration Date | 2025-09-12 |
| Last Update Date | 2026-03-13 |