| NPI | 1881586303 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5022580) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC 211800) |
| Enumeration Date | 2025-07-18 |
| Last Update Date | 2025-09-04 |