| NPI | 1205295201 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AL 1-129371) |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: AL 1-129371) |
| Enumeration Date | 2016-02-18 |
| Last Update Date | 2025-08-05 |