| NPI | 1215655170 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11020900) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11020900) |
| Enumeration Date | 2022-08-17 |
| Last Update Date | 2026-03-05 |