| NPI | 1760189880 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 2022057057) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5017609) |
| Enumeration Date | 2023-02-09 |
| Last Update Date | 2025-09-28 |