| NPI | 1518643311 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11027160) | 
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9409554) | 
| Enumeration Date | 2023-06-26 | 
| Last Update Date | 2023-10-18 |