| NPI | 1114156429 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SD CP001921) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95023693) |
| Enumeration Date | 2009-07-08 |
| Last Update Date | 2026-03-18 |