| NPI | 1386958676 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 4173) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 4017057) |
| Enumeration Date | 2010-07-29 |
| Last Update Date | 2025-06-09 |