| NPI | 1164979746 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9494444) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9494444) |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2025-08-12 |