| NPI | 1114602398 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SF0001X Clinical Nurse Specialist, Family Health (Licence: FL 11026980) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11026980) |
| Enumeration Date | 2023-06-16 |
| Last Update Date | 2025-12-02 |