| NPI | 1649818360 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11006178) |
| Additional Taxonomies | 163WA2000X Registered Nurse, Administrator (Licence: FL RN9374232) |
| Enumeration Date | 2019-12-12 |
| Last Update Date | 2026-05-18 |