| NPI | 1114697737 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11023184) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 30333) |
| Enumeration Date | 2021-09-15 |
| Last Update Date | 2025-11-12 |