| NPI | 1629962618 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11039914) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL 11039914) |
| 207P00000X Emergency Medicine (Licence: FL 11039914) | |
| Enumeration Date | 2025-06-05 |
| Last Update Date | 2025-10-08 |