| NPI | 1164937959 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11035203) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP018217) |
| Enumeration Date | 2017-12-03 |
| Last Update Date | 2025-07-24 |