| NPI | 1801774617 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5024420) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 443319) |
| Enumeration Date | 2025-08-21 |
| Last Update Date | 2026-05-06 |