| NPI | 1891044731 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 20228.APN.RX) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024170206) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9430993) | |
| Enumeration Date | 2012-09-06 |
| Last Update Date | 2025-08-09 |