| NPI | 1083011092 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: FL ARNP9358262) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: FL ARNP9358262) |
| Enumeration Date | 2014-11-20 |
| Last Update Date | 2025-09-16 |