| NPI | 1851383962 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 4003) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 200660) |
| Enumeration Date | 2005-08-16 |
| Last Update Date | 2025-01-26 |