| NPI | 1356983092 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11023200) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL F09220571) |
| 163W00000X Registered Nurse (Licence: FL RN9457423) | |
| Enumeration Date | 2019-10-15 |
| Last Update Date | 2025-09-21 |