| NPI | 1235496472 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11045163) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9464993) |
| Enumeration Date | 2012-04-12 |
| Last Update Date | 2026-01-28 |