| NPI | 1457809436 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 28719) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024173356) |
| Enumeration Date | 2016-09-19 |
| Last Update Date | 2025-10-28 |