| NPI | 1164774808 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VT 101.0134328) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60310467) |
| Enumeration Date | 2012-10-04 |
| Last Update Date | 2025-09-24 |