| NPI | 1346366655 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP018662) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP3028812) |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2026-03-06 |