| NPI | 1144564170 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP9220082) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WI 11823-33) |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2025-06-27 |