| NPI | 1316487739 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9246750) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL APRN9246750) |
| 261Q00000X Clinic/Center (Licence: FL APRN9246750) | |
| Enumeration Date | 2017-03-04 |
| Last Update Date | 2026-02-17 |