| NPI | 1033719190 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL PS61794) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11042514) |
| Enumeration Date | 2020-10-28 |
| Last Update Date | 2025-12-28 |