| NPI | 1811722440 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NE 115599) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NE 115599) |
| 363L00000X Nurse Practitioner (Licence: IA A184488) | |
| Enumeration Date | 2024-09-04 |
| Last Update Date | 2025-07-17 |