| NPI | 1902785934 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: SC 30955) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: SC 284645) |
| Enumeration Date | 2025-09-02 |
| Last Update Date | 2025-09-26 |