| NPI | 1720427966 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA 07387) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: LA F0613621) |
| Enumeration Date | 2013-06-20 |
| Last Update Date | 2025-03-27 |