| NPI | 1417652470 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11037701) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9503087) |
| Enumeration Date | 2023-03-31 |
| Last Update Date | 2025-07-11 |