| NPI | 1881319341 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5017019) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 316846) |
| Enumeration Date | 2022-10-06 |
| Last Update Date | 2025-08-11 |