| NPI | 1598596694 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11033078) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL 11033078) |
| 363L00000X Nurse Practitioner (Licence: FL APRN11033078) | |
| Enumeration Date | 2024-08-10 |
| Last Update Date | 2025-06-11 |