| NPI | 1598623456 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11044969) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: FL 9395852) |
| Enumeration Date | 2026-01-12 |
| Last Update Date | 2026-01-15 |