| NPI | 1417327172 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: HI 3002) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: HI 3002) |
| 363LF0000X Nurse Practitioner, Family (Licence: OR 201500374NP-PP) | |
| Enumeration Date | 2015-10-06 |
| Last Update Date | 2026-03-23 |