| NPI | 1437848512 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11026019) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: FL APRN11026019) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: FL 11026019) | |
| Enumeration Date | 2023-05-03 |
| Last Update Date | 2025-12-01 |