| NPI | 1265300222 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11043211) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL APRN11043211) |
| Enumeration Date | 2025-10-29 |
| Last Update Date | 2026-06-30 |