| NPI | 1225828221 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11039405) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL APRN1103945) |
| Enumeration Date | 2025-05-12 |
| Last Update Date | 2025-06-11 |