| NPI | 1174256770 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11030143) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 32098) |
| 363LF0000X Nurse Practitioner, Family (Licence: AR 221064) | |
| Enumeration Date | 2022-07-01 |
| Last Update Date | 2025-12-15 |