| NPI | 1629357272 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 25117) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP011510) |
| Enumeration Date | 2011-08-15 |
| Last Update Date | 2025-12-10 |