| NPI | 1811757370 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 30059) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 5019808) |
| Enumeration Date | 2024-03-21 |
| Last Update Date | 2025-04-18 |