| NPI | 1932936937 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5022692) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CT 13718) |
| Enumeration Date | 2024-09-16 |
| Last Update Date | 2025-08-26 |