| NPI | 1134421399 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 9236527) |
| Additional Taxonomies | 208D00000X General Practice (Licence: VA 0024192686) |
| Enumeration Date | 2010-11-21 |
| Last Update Date | 2025-11-26 |