| NPI | 1346075595 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11035888) |
| Additional Taxonomies | 163WX1500X Registered Nurse, Ostomy Care (Licence: FL 9284440) |
| Enumeration Date | 2024-09-06 |
| Last Update Date | 2026-04-01 |