| NPI | 1073378295 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11029684) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: RI APRN05251) |
| Enumeration Date | 2024-02-16 |
| Last Update Date | 2026-08-17 |