| NPI | 1366053506 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11008899) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9338285) |
| Enumeration Date | 2020-08-12 |
| Last Update Date | 2026-03-06 |