| NPI | 1699132811 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL F09260338) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: FL 135271) |
| 163W00000X Registered Nurse (Licence: FL 9500542) | |
| Enumeration Date | 2016-01-19 |
| Last Update Date | 2026-09-28 |