| NPI | 1356693550 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11039631) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9298522) |
| Enumeration Date | 2012-10-11 |
| Last Update Date | 2025-06-06 |