| NPI | 1033884044 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11013966) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9287112) |
| Enumeration Date | 2021-08-11 |
| Last Update Date | 2026-02-08 |