| NPI | 1881450054 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-151756) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11031220) |
| Enumeration Date | 2024-02-26 |
| Last Update Date | 2025-11-10 |