| NPI | 1639661275 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN9294227) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 9294227) |
| Enumeration Date | 2018-05-30 |
| Last Update Date | 2026-06-01 |