| NPI | 1922255512 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5022372) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: NY 570663) |
| Enumeration Date | 2008-08-26 |
| Last Update Date | 2025-08-01 |