| NPI | 1174239396 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11023916) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11023916) |
| Enumeration Date | 2023-01-31 |
| Last Update Date | 2025-07-09 |