| NPI | 1932985454 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11036000) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9567244) |
| Enumeration Date | 2023-09-01 |
| Last Update Date | 2025-07-11 |