| NPI | 1346410016 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 4045) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: LA 243166) |
| 363LF0000X Nurse Practitioner, Family (Licence: NC 5003927) | |
| Enumeration Date | 2008-03-09 |
| Last Update Date | 2025-10-10 |