| NPI | 1023297389 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11043982) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: FL PN 5162112) |
| Enumeration Date | 2007-11-02 |
| Last Update Date | 2026-01-28 |