| NPI | 1487090742 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 9248232) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9248232) |
| Enumeration Date | 2013-05-14 |
| Last Update Date | 2026-01-18 |