| NPI | 1245093392 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL 2023063441) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11028805) |
| Enumeration Date | 2024-02-01 |
| Last Update Date | 2026-06-12 |