| NPI | 1962285981 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA 201719) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: LA 201719) |
| Enumeration Date | 2023-08-15 |
| Last Update Date | 2025-05-07 |