| NPI | 1447974050 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN11022433) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 9184898) |
| Enumeration Date | 2022-09-27 |
| Last Update Date | 2025-12-08 |