| NPI | 1528399748 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-124579) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 9299613) |
| Enumeration Date | 2010-01-28 |
| Last Update Date | 2025-08-20 |