| NPI | 1144858481 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11033237) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2020010275) |
| Enumeration Date | 2020-03-31 |
| Last Update Date | 2026-04-13 |