| NPI | 1013970417 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 201559) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024166162) |
| Enumeration Date | 2006-04-08 |
| Last Update Date | 2026-03-13 |