| NPI | 1396254264 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 9366440) | 
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: FL 9366440) | 
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: FL TRN42484) | |
| Enumeration Date | 2017-09-23 | 
| Last Update Date | 2025-05-22 |