| NPI | 1174153498 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11008865) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NV 860281) |
| 163WP2201X Registered Nurse, Ambulatory Care (Licence: FL RN9352782) | |
| Enumeration Date | 2020-01-26 |
| Last Update Date | 2026-04-15 |