| NPI | 1356694962 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: FL APRN11043271) |
| Additional Taxonomies | 163WS0200X Registered Nurse School (Licence: NY 507545) |
| 163WC1500X Registered Nurse Community Health (Licence: FL 9548673) | |
| Enumeration Date | 2012-10-19 |
| Last Update Date | 2025-10-29 |