| NPI | 1982319067 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA 235286) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AR 223217) |
| Enumeration Date | 2023-01-23 |
| Last Update Date | 2025-07-29 |