| NPI | 1962247684 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA 240736) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AR 122952) |
| Enumeration Date | 2024-06-25 |
| Last Update Date | 2025-07-22 |