| NPI | 1609864974 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS 782685) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MS 782685) |
| Enumeration Date | 2005-10-11 |
| Last Update Date | 2025-02-27 |