| NPI | 1144054701 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS 906598) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11039248) |
| Enumeration Date | 2024-08-27 |
| Last Update Date | 2025-05-22 |