| NPI | 1912890997 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP032973) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DE LG-0013240) |
| Enumeration Date | 2025-05-30 |
| Last Update Date | 2025-08-04 |