| NPI | 1609833326 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5003910) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 185310) |
| 363LF0000X Nurse Practitioner, Family (Licence: SC 2172) | |
| Enumeration Date | 2006-04-27 |
| Last Update Date | 2025-05-22 |