| NPI | 1578884763 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN9360915) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 9360915) |
| Enumeration Date | 2010-06-22 |
| Last Update Date | 2025-02-03 |