| NPI | 1225616097 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11034165) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9336217) |
| 363L00000X Nurse Practitioner (Licence: FL APRN11034165) | |
| Enumeration Date | 2021-03-31 |
| Last Update Date | 2026-09-10 |