| NPI | 1427598333 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP032876)  | 
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: LA AP09221)  | 
| 363LF0000X Nurse Practitioner, Family (Licence: LA AP09221)  | |
| Enumeration Date | 2017-02-27 | 
| Last Update Date | 2025-07-14 |