| NPI | 1447487384 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL arnp9229293) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL RN9229293) |
| 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine (Licence: FL RN9229293) | |
| Enumeration Date | 2009-06-18 |
| Last Update Date | 2026-02-03 |