| NPI | 1346671468 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5017757) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 2731942) |
| Enumeration Date | 2013-11-30 |
| Last Update Date | 2026-07-10 |