| NPI | 1457436008 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5000711) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024167387) |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2025-11-25 |