| NPI | 1154420123 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SC 30605) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MS R856261) |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2025-11-03 |