| NPI | 1689620247 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11004142) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 2151012) |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2026-03-31 |