| NPI | 1467274456 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: FL APRN11038322) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9295325) |
| Enumeration Date | 2024-10-30 |
| Last Update Date | 2025-08-20 |