| NPI | 1336474295 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11027910) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP010346) |
| Enumeration Date | 2009-10-12 |
| Last Update Date | 2025-02-03 |