| NPI | 1881426815 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MT 241846) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 5022245) |
| Enumeration Date | 2024-08-19 |
| Last Update Date | 2025-05-29 |