| NPI | 1144202383 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 9483357)  | 
| Additional Taxonomies | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: DC 3268080889)  | 
| 363LF0000X Nurse Practitioner, Family (Licence: MD r115117)  | |
| Enumeration Date | 2005-11-15 | 
| Last Update Date | 2025-07-22 |