| NPI | 1407859937 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA AP03457) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: LA 87008-3457) |
| Enumeration Date | 2005-05-30 |
| Last Update Date | 2026-03-16 |