| NPI | 1932595147 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5008198) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: SC 28754) |
| 363L00000X Nurse Practitioner (Licence: NC 5008198) | |
| 207Q00000X Family Medicine (Licence: VA 0024194942) | |
| Enumeration Date | 2015-04-14 |
| Last Update Date | 2025-11-04 |