| NPI | 1235379272 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2006037989) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS 46237) |
| Enumeration Date | 2009-03-04 |
| Last Update Date | 2026-02-27 |