| NPI | 1255588794 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9194741) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL ARNP9194741) |
| 363L00000X Nurse Practitioner (Licence: FL APRN9194741) | |
| Enumeration Date | 2008-08-27 |
| Last Update Date | 2026-03-03 |