| NPI | 1609686138 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11037695) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA F12240206) |
| Enumeration Date | 2025-01-08 |
| Last Update Date | 2026-02-18 |