| NPI | 1508539271 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11021334) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NV 828065) |
| Enumeration Date | 2021-07-28 |
| Last Update Date | 2026-03-02 |