| NPI | 1275737009 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R095822)  | 
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MD R095822)  | 
| Enumeration Date | 2007-06-14 | 
| Last Update Date | 2025-09-11 |