| NPI | 1669179636 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11023296) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11023296) |
| Enumeration Date | 2023-02-10 |
| Last Update Date | 2025-03-07 |