| NPI | 1457909657 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11003966) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL F07191474) |
| Enumeration Date | 2019-08-30 |
| Last Update Date | 2025-03-20 |