| NPI | 1770441339 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2025086355) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO F12250276) |
| Enumeration Date | 2026-01-13 |
| Last Update Date | 2026-08-03 |