| NPI | 1922957489 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AR 236279) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2026004192) |
| Enumeration Date | 2026-01-27 |
| Last Update Date | 2026-05-13 |