| NPI | 1447983051 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL 11020503) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: FL 11020503) |
| Enumeration Date | 2022-07-01 |
| Last Update Date | 2025-08-25 |