| NPI | 1639130560 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MT 32326) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN 0985222) |
| Enumeration Date | 2006-03-30 |
| Last Update Date | 2025-04-10 |