| NPI | 1619831948 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11044357) |
| Additional Taxonomies | 163WC0400X Registered Nurse, Case Management (Licence: FL RN9624879) |
| Enumeration Date | 2025-12-11 |
| Last Update Date | 2026-03-19 |