| NPI | 1932778107 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 25444) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: SC 25444) |
| 207QA0505X Family Medicine, Adult Medicine (Licence: SC 542224) | |
| Enumeration Date | 2021-06-22 |
| Last Update Date | 2026-01-15 |