| NPI | 1013366558 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9288490) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: FL ARNP9288490) |
| Enumeration Date | 2016-06-06 |
| Last Update Date | 2025-10-30 |