| NPI | 1023249182 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: NE 111053) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NE 61460) |
| Enumeration Date | 2009-08-06 |
| Last Update Date | 2025-12-09 |