| NPI | 1912266925 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5023984) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA NP95028926) |
| 363LF0000X Nurse Practitioner, Family (Licence: NY f336779-1) | |
| Enumeration Date | 2012-05-10 |
| Last Update Date | 2026-02-25 |