| NPI | 1184625055 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MT 100012) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MT RN014083) |
| Enumeration Date | 2005-08-02 |
| Last Update Date | 2026-03-25 |