| NPI | 1679354955 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11031435) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NV 018051) |
| Enumeration Date | 2023-10-11 |
| Last Update Date | 2025-11-10 |