| NPI | 1902440050 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 23370) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11038176) |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 95035572) | |
| Enumeration Date | 2019-11-01 |
| Last Update Date | 2025-07-17 |