| NPI | 1104176130 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA AP07011) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: LA APO7011) |
| Enumeration Date | 2012-09-18 |
| Last Update Date | 2025-08-12 |