| NPI | 1134839681 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11024577) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: FL rn9216321) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL 11024577) | |
| Enumeration Date | 2022-11-23 |
| Last Update Date | 2025-04-07 |