| NPI | 1669966719 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9310149) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL RN9310149) |
| Enumeration Date | 2018-06-20 |
| Last Update Date | 2025-08-13 |