| NPI | 1366303968 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11046576) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9367753) |
| Enumeration Date | 2025-11-21 |
| Last Update Date | 2026-07-01 |