| NPI | 1013738327 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11046145) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC F07241155) |
| Enumeration Date | 2024-10-19 |
| Last Update Date | 2026-05-26 |