| NPI | 1295775310 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 3-002268) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN 7436) |
| 363LF0000X Nurse Practitioner, Family (Licence: CO 992362) | |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2025-05-22 |