| NPI | 1336635549 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11041830) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: LA AP10029) |
| Enumeration Date | 2018-07-11 |
| Last Update Date | 2025-10-20 |