| NPI | 1174544563 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5001749) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 4028194) |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2025-04-11 |