| NPI | 1285103648 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN11000378) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 9408520) |
| Enumeration Date | 2018-11-15 |
| Last Update Date | 2025-10-28 |