| NPI | 1598170615 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL RN 9357924) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9357924) |
| Enumeration Date | 2014-06-26 |
| Last Update Date | 2025-07-22 |