| NPI | 1598871147 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 2983) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: SC 2983) |
| 363LF0000X Nurse Practitioner, Family (Licence: NC 5005171) | |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2025-04-07 |