| NPI | 1992597645 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5022189) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11039297) |
| Enumeration Date | 2025-05-20 |
| Last Update Date | 2025-05-20 |