| NPI | 1598396160 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL 11005828) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner Primary Care (Licence: FL 11005828) |
| Enumeration Date | 2020-01-31 |
| Last Update Date | 2025-07-01 |