| NPI | 1912598475 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5020752) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC 24435) |
| Enumeration Date | 2021-01-28 |
| Last Update Date | 2026-04-01 |