| NPI | 1023260221 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PR 1433) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9200602) |
| Enumeration Date | 2008-10-21 |
| Last Update Date | 2025-02-24 |