| NPI | 1609334531 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11000560) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CT 14385) |
| Enumeration Date | 2019-03-11 |
| Last Update Date | 2025-10-17 |