| NPI | 1629150669 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IA A1071752) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: IA A071752) |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2025-06-03 |