| NPI | 1689563272 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11039811) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11039811) |
| Enumeration Date | 2025-06-30 |
| Last Update Date | 2025-10-10 |