| NPI | 1396834339 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9487885) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC NP5002202) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2026-07-24 |